Individual provider Active NPI

Rebecca Damon Prager, MSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1841499324
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26242 Issued in CA
Practice address
6025 Harwood Ave
Oakland, CA 94618-1337
Phone
(510) 387-9460
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW 11711 CA
Clinical Social Worker 1041C0700X 26242 CA Primary

Addresses

Primary practice location

6025 Harwood Ave
Oakland, CA 94618-1337

Mailing address

6025 Harwood Ave
Oakland, CA 94618-1337
Phone (510) 387-9460

Other practice location 1

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 647-0409

Other practice location 2

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 647-0409

Other identifiers 1

IdentifierTypeStateIssuer
7487OtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW 11711CAMDSocial Worker
26242CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841499324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 HARWOOD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181337",
            "telephone_number": "510-387-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 HARWOOD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181337",
            "telephone_number": "510-387-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947021833",
            "country_code": "US",
            "telephone_number": "510-647-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947021833",
            "country_code": "US",
            "telephone_number": "510-647-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "REBECCA",
        "middle_name": "DAMON",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW 11711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "7487",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.